Breneman, James C.
September 1963
Angiology;Sep1963, Vol. 14 Issue 9, p437
Academic Journal
Postoperative T-E disease is regarded as a major unsolved surgical hazard. Prediction of risk is possible by the application of a T-E (Thromboembolic) formula preoperatively. This formula has been developed by comparing two series of cases; one series consists of surgical cases that became afflicted with T-E disease; the other consists of surgical cases (having the same operations) that had no T-E complications. Several factors were important. These included age, weight, preoperative and postoperative immobilization, anesthesia, clotting factors, previous operations, and postoperative fever. By giving numerical values to these factors and substituting them in the suggested formula, the likelihood of T-E disease can be determined. If this is calculated preoperatively, it can show whether or not the contemplated operation might be likely to be fatal to the patient if he develops no postoperative fever. If the operation must be done in spite of the forecast of a high T-E probability, the use of a pulsating boot reduces the hazard. This boot milks venous blood from the patient's immobile legs and in this way reduces stasis and removes a significant portion of the T-E risk.


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